Toxoplasmosis
Toxoplasmosis is this kind of organism
What is a parasite?
The definition of VKDB.
What is, when neonates bleed excessively due to the lack/low levels of Vit K, which is required to synthesize clotting factors in the body to ultimately prevent excessive bleeding.
Name the goal of an ECV.
What is, to turn a fetus from breech to cephalic presentation?
This type of assisted vaginal delivery may be used in an attempt to correct brow presentation.
What is forceps assisted vaginal delivery?
Non-congenital toxoplasmosis is transmitted in this way.
What is consumption and/or ingestion of contaminated substances (i.e., uncooked meats, cat feces, etc.,)?
The best way to prevent VKDB (include name, dose, administration route & site).
1.0mg IM shot of Vit K to the thigh (vastus lateralis)
ECV can technically be performed by.
Who is anyone? ECV is not a protected act. "External version can be performed by one or two persons experienced in the procedure".
The purpose of fetal head molding.
What is, to reduce the diameter of the vertex passing through the birth canal?
Does the ability of toxoplasmosis to cross the placental barrier change over the course of pregnancy?
Yes, the placenta becomes more permeable to toxoplasmosis as pregnancy progresses.
The alternative method of administered neonatal vitamin K (dose, route, schedule)
PO version of Vit K supplement for the infant, which would require multiple 2.0mg doses (first feed, 2 weeks, 4 weeks, and 6-8 weeks).
The most common fetal reaction to ECV.
What is fetal bradycardia?
What is supportive care to client, receiving baby, providing stimulation to baby, performing the newborn exam, and facilitating skin-to-skin?
Name three risks that toxoplasmosis can present to the fetus.
What is any 3 of; low birth weight, intrauterine fetal demise, jaundice, enlarged liver and/or spleen, hydrocephalus, lesions to the eyes?
Name 4 signs and symptoms of VKDB.
S/S of VKDB include bruising, abnormal/excessive bleeding from sites that do not normally bleed persistently, severe/persistent jaundice for more than 1-2 weeks, hematemesis, melaena.
Name 3 absolute contraindications to ECV.
Abnormal fetal heart rate, major uterine anomaly, multiple pregnancy, other indication for C/S, recent antepartum hemorrhage.
A way to tell the difference between caput and cephalhaematoma.
What is caput can cross the suture lines, while cephalhaematoma does not?
Name the medications that may be used to manage toxoplasmosis infection during pregnancy.
What is Spiramycin, Pyrimethamine, Sulfonamides, and folinic acid?
Name the 3 subtypes of VKDB, along with their relevant timeframes.
What is "early" (0-24h), "classical" (1-7 days), and "late" (1-6 months)?
The benefits and risks associated with early ECV (<37w).
Benefits:
increased cephalic presentation at birth, greater chance of vaginal birth.
Risks:
increased chance of late preterm birth.
ACOG definition of second stage labour dystocia.
What is pushing for more than 3 hours for nulliparous people, and for more than 2 hours for multiparous people?